| Dr Gary Edwin Allen, MD | |
|
13501 Chenal Pkwy Ste 102, Little Rock, AR 72211-5262 | |
| (281) 888-8999 | |
| (281) 305-4054 |
| Full Name | Dr Gary Edwin Allen |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 34 Years |
| Location | 13501 Chenal Pkwy Ste 102, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063467256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | C8226 (Arkansas) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | J9611 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nirp Beaumont, Pllc | 1658645536 | 7 |
| Nirp Sugar Land Pllc | 2163718727 | 9 |
| Entity Name | Nirp Pasadena Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912366097 PECOS PAC ID: 6901199710 Enrollment ID: O20160801000446 |
| Entity Name | Nirp Sugar Land Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174077598 PECOS PAC ID: 2163718727 Enrollment ID: O20160907002120 |
| Entity Name | Nirp Beaumont, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609392430 PECOS PAC ID: 1658645536 Enrollment ID: O20170915000494 |
| Entity Name | Nirp Corpus Christi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619475761 PECOS PAC ID: 2365704947 Enrollment ID: O20180319001922 |
| Entity Name | Nirp Rio Grande Valley Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164920211 PECOS PAC ID: 4688936230 Enrollment ID: O20180320002533 |
| Entity Name | Nirp Victoria Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407354699 PECOS PAC ID: 9830452093 Enrollment ID: O20180423000188 |
| Entity Name | Nirp Woodlands Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346705639 PECOS PAC ID: 5092058149 Enrollment ID: O20190514000522 |
| Entity Name | Nirp South Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447715735 PECOS PAC ID: 6709110984 Enrollment ID: O20190621000163 |
| Entity Name | Fort Worth Vascular Specialists Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396370334 PECOS PAC ID: 8820419583 Enrollment ID: O20200604001063 |
| Entity Name | Nirp Laredo Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063977346 PECOS PAC ID: 0042639205 Enrollment ID: O20201007002742 |
| Entity Name | Nirp Waco Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033674312 PECOS PAC ID: 5890108062 Enrollment ID: O20210107000280 |
| Entity Name | Nirp Dallas-fort Worth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992260277 PECOS PAC ID: 5092120394 Enrollment ID: O20210218002785 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Edwin Allen, MD P.o. Box 735863, Dallas, TX 75373-5863 Ph: (281) 888-8999 | Dr Gary Edwin Allen, MD 13501 Chenal Pkwy Ste 102, Little Rock, AR 72211-5262 Ph: (281) 888-8999 |
Jeremiah James Sabado, Radiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1175 Fax: 501-364-1513 | |
Dr. Jamie D Ireland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 Phone: 501-257-6615 | |
Dr. Aaron L. Janos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 South University Avenue, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 | |
Whitney Goodwin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Dr. Uma Mahesh Matapathi, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Dr. Robert L Stuckey Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Jodi M Barboza, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S University Ave, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 |